HomeMy WebLinkAboutInsurance Cancellation: Construction Engineering FARMERS'
INSURANCE Notice of Cancellation
This notice
is issued by: FARMERS INSURANCE EXCHANGE
Date: 05/07/22
Property
Location:
(If other than shown below) -
Policy Or Certificate Numbers) Agent Number - Cancellation.Date
03499-60-76 73-09-37V 05/01/22
Named Insured And Mailing Address:
CONSTRUCTION ENGINEERING
PO BOX 1724
MEDFORD OR 97501-0134
Notice of Cancellation Of
Mortgagee Or Other Interest
® You are hereby notified, that all coverage extended to you under the above listed policy is cancelled effective
co
on the cancellationdateshown above at the time specified in the Declarations of this policy, unless you
have been notified of a more recent cancellation under other provisions of the policy.
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0 You are hereby notified that all coverage extended to you under the above policy(ies) or certificate(s)on:
co
ois cancelled effective on the cancellation date shown above at the time specified in the Declarations of this
policy,unless you have been notified of a more recent cancellation under other provisions of the policy.
oNote to Mortgagee: Your loan with this policyholder may have expired, however, this notice complies with
the provision of our policy.
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Loan Number:
Mortgagee or Other Interest:
CITY OF ASHLAND
PUBLIC WORKS DEPARTMENT
20 E MAIN ST
ASHLAND OR 97520
25-5096 5-02 MORTGAGEE,BUREAU,COMMISSIONS 05096131
OR OTHER INTEREST COPY